EX-4.1





 Exhibit 4.1 
  






 
 NUMBER RA INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE    CUSIP 74933X 10 4 SEE REVERSE FOR
CERTAIN DEFINITIONS AND LEGENDS    This certifies that    is the record holder of    FULLY PAID AND NONASSESSABLE SHARES OF COMMON STOCK, $0.0001 PAR VALUE PER SHARE, OF RA MEDICAL SYSTEMS,
INC.    transferable endorsed. This on the Certificate books is of not the valid corporation until countersigned in person or by by the duly Transfer authorized Agent attorney and registered upon surrender by the Registrar. of
this Certificate properly WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers. Dated:    CHIEF EXECUTIVE OFFICER    CHIEF FINANCIAL
OFFICER    R C . JUNE 14 , 2018 RA MEDICAL SYSTEMS, INC. CORPORATE SEAL JUNE 14, 2018 DELAWARE    COUNTERSIGNED AND REGISTERED:AMERICAN STOCK TRANSFER TRUST& COMPANY, LLC (BROOKLYN,
NY)                 TRANSFER AGENT AND REGISTRAR BY:AUTHORIZED SIGNATURE 












 The Corporation shall furnish without charge to each stockholder who so requests a
statement of the powers, designations, preferences and relative, participating, optional or other special rights of each class of stock of the Corporation or series thereof and the qualifications, limitations or restrictions of such preferences
and/or rights. Such requests shall be made to the Corporation’s Secretary at the principal office of the Corporation. 
 KEEP THIS
CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN, OR DESTROYED THE CORPORATION WILL REQUIRE A BOND INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT CERTIFICATE. 

   The following abbreviations, when used in the inscription on the face of this certificate, shall be construed as
though they were written out in full according to applicable laws or regulations: 

 


					
	TEN COM	  	–  	 	as tenants in common
	TEN ENT	  	–  	 	as tenants by the entireties
	JT TEN	  	–  	 	as joint tenants with right of
		  		 	survivorship and not as tenants
		  		 	in common
	COM PROP	  	–  	 	as community property

 


							
	                                	 	UNIF GIFT MIN ACT	  	–  	 	............................... Custodian ...............................
		 		  		 	                (Cust)                     
                            (Minor)
		 		  		 	under Uniform Gifts to Minors
		 		  		 	Act..............................................................................
		 		  		 	                                      
      (State)
		 	UNIF TRF MIN ACT	  	–  	 	....................... Custodian (until age .........................)
		 		  		 	          (Cust)
		 		  		 	.......................................... under Uniform Transfers
		 		  		 	                    (Minor)
		 		  		 	to Minors Act..............................................................
		 		  		 	                                      
                  (State)

 
 

 Additional abbreviations may also be used though not in the above list. 

FOR VALUE RECEIVED,
                                         
                                         
                                         
  hereby sell(s), assign(s) and transfer(s) unto 
  
     PLEASE INSERT
SOCIAL SECURITY OR OTHER 
             IDENTIFYING NUMBER OF ASSIGNEE 

 

	
	                

  
  

 
 (PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS,
INCLUDING ZIP CODE, OF ASSIGNEE) 
  
  

 
  

                         
                                         
                                         
                                         
                                         
                shares of the capital stock represented by within Certificate, and do hereby irrevocably constitute and appoint
                                     

                         
                                         
                                         
                                         
                                         
    attorney-in-fact to transfer the said stock on the books of the within named Corporation with full power of the substitution in the premises. 

Dated
                                         
                                

 

											
	 	  	X	 	 	  
  

	 	  	X	 	 	  
  

	Signature(s) Guaranteed:	  				 	 	NOTICE:	 	  	 THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR,
WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATSOEVER.


  
  

			
	  
 By
	 	                                      
                                         
               


			
	  
 THE SIGNATURE(S) SHOULD BE GUARANTEED BY AN
ELIGIBLE GUARANTOR INSTITUTION, (BANKS, STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM), PURSUANT TO S.E.C. RULE 17Ad-15.
GUARANTEES BY A NOTARY PUBLIC ARE NOT ACCEPTABLE. SIGNATURE GUARANTEES MUST NOT BE DATED.